Organization · Type 2 NPI
Jacqueline Kotula, Dds, Inc.
Dental Clinic/Center · San Rafael, CA
NPI number
1457008179
Active
Practice location
4050 Redwood Hwy Ste A
San Rafael, CA 94903-5149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in San Rafael
About NPI 1457008179
Jacqueline Kotula, Dds, Inc.'s National Provider Identifier is 1457008179, issued on Mar 2, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Rafael, CA. The record was last updated on Mar 2, 2022.